Medicaid to Schools Program
Local Education Agencies (LEAs), such as school districts, are eligible to receive federal Medicaid reimbursement for medically necessary services provided to their special education students when the services meet the requirements of the state’s School-Based Medicaid program and are provided in accordance with the students’ IEPs (§300.154(d)(2)(i)-(iii)).
The Individuals with Disabilities Education Improvement Act of 2004 (IDEA) and the Family Educational Rights and Privacy Act (FERPA) require schools to notify parents that the district participates in this program. The district utilizes services ordered in the IEP and the Medicaid identification number, in conjunction with the state Medicaid Agency and our Medicaid billing agent, to receive reimbursements for these services from the School-Based Medicaid program.
The district’s participation in this program in no way impacts the services being provided to the student nor impacts the family’s Medicaid benefits. At any time, parents can notify the school district in the event they no longer want the district to access student information for the purposes of seeking reimbursements through this program.